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General NPI Number Information
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NPI Number | 1134820095
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Entity Type | Organization
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Legal Business Name | JIREH THERAPEUTICS LLC
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 5471 RIVER THAMES PLACE
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City | JACKSN
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State | MS
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Zip | 39211
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Country | US
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Telephone | 601-566-5007
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Fax |
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Provider Business Mailing Address
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Address Line | 5471 RIVER THAMES PLACE
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City | JACKSN
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State | MS
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Zip | 39211
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Country | US
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Telephone | 601-566-5007
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF BILLING
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Name | MS. KORLYNN TRICE
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Credential | MHA
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Telephone | 601-624-5912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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